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Your provider will set realistic expectations

[5] Altered sleep patterns, difficulty concentrating, irritability, overactivity, excitability, mental depression, confusion and impaired judgement have all been reported in patients receiving 15 mg of folic acid daily for 1 month

Active Ingredients: Cyanocobalamin 1000 mcg/mL DO NOT TAKE large doses of vitamins (megadoses or megavitamin therapy) unless directed to by your doctor

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Some insurance companies only pay 15% over the Medicaid rate in their state, whereas others pay 45%, 60%, 80%, 85% on top of their states medicaid rate